DR. HAMIDREZA M KHONSARI M.D.
NPI 1306874714
Family Medicine in Antioch, CA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
98.13/100
CMS Quality Rating
3903 LONE TREE WAY, SUITE 104, ANTIOCH, CA 94509(925) 755-1255(925) 755-1259 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2025, Feb 11, 2025, Sep 10, 2021 (3 updates tracked since 2021).

About Dr. Hamidreza M Khonsari M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HAMIDREZA M KHONSARI M.D. (NPI 1306874714) is an individual family medicine provider in Antioch, California, licensed in California (A486070) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1306874714
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HAMIDREZA M KHONSARICredential: M.D.
Location Address3903 LONE TREE WAY, SUITE 104Antioch, CA 94509-6249
Mailing Address3903 Lone Tree Way Ste 104Antioch, CA 94509-6251 · (925) 755-1255 · Fax (925) 755-1259
Fax(925) 755-1259
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJune 28, 2006
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
NPI 1306874714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A486070
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3903 LONE TREE WAY, Antioch, CA 94509

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Hamidreza M Khonsari M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486726874
PECOS Enrollment IDI20080807000543
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 35

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
1,222 services126 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
1,139 services125 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,109 services163 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
1,104 services122 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
933 services303 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
933 services161 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.24
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
95%92 patients4/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
1%70 patients
Breast Cancer Screening
91%274 patients4/55-star benchmark: 93%
Cervical Cancer Screening
54%345 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
41%29 patients
Colorectal Cancer Screening
69%654 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
91%530 patients5/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
86%22 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
29%190 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
12%190 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%5,708 patients4/55-star benchmark: 100%
e-Prescribing
100%1,625 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
79%521 patients4/55-star benchmark: 100%
HIV Screening
35%769 patients3/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
45%1,218 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
33%853 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 90% · 1,190 patients
Patients screened: 93% · 1,190 patients
56%70 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%389 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%608 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers43 claims131 services$6.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers27 claims36 services$1.04 avg. paid by Medicare
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
2 suppliers17 claims215 services$21.81 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers15 claims130 services$7.56 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims68 services$2.13 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$42.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
3903 LONE TREE WAY, SUITE 205
ANTIOCH, CA 94509
Preferred Provider Organization
3903 LONE TREE WAY, STE. 211
ANTIOCH, CA 94509
Orthopaedic Surgery
3903 LONE TREE WAY, SUITE 305
ANTIOCH, CA 94509
Family Medicine
3903 LONE TREE WAY, 104
ANTIOCH, CA 94509
Internal Medicine (Gastroenterology)
3903 LONE TREE WAY, SUITE 205
ANTIOCH, CA 94509
Clinic/Center
3903 LONE TREE WAY, SUITE: 310
ANTIOCH, CA 94509
Urology
3903 LONE TREE WAY, SUITE 310
ANTIOCH, CA 94509
Surgery
3903 LONE TREE WAY, SUITE 210
ANTIOCH, CA 94509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hamidreza Khonsari's NPI number?

The NPI number for Hamidreza Khonsari is 1306874714. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Hamidreza Khonsari located?

Hamidreza Khonsari practices at 3903 Lone Tree Way Suite 104, Antioch, CA 94509. The listed phone number is (925) 755-1255.

What is Hamidreza Khonsari's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hamidreza Khonsari enrolled in Medicare?

Yes. Hamidreza Khonsari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Hamidreza Khonsari was last updated on March 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.